scholarly journals Food and Nutrient Intake Pattern of Three Generations Living Together in Middle Income Urban Households of Delhi, India

2020 ◽  
Vol 72 (1-3) ◽  
Author(s):  
Shreya Arora
Keyword(s):  
Focus Group ◽  
Nutrient Intake ◽  
Food Selection ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Middle Income ◽  
Three Generations ◽  
Living Together ◽  
Food And Nutrient Intake

ABSTRACT The aim of the study was to assess the inter-generational differences in food and nutrient intake of three generations (grandparents, parents and children) living together. A cross-sectional survey assessed the food group and nutrient intake, changes in the intake over the years by using 24-hour dietary recall repeated over three days and focus group discussions. A total of 226 middle income families including 1,038 participants, grandparents (n=302), parents (n=423) and children (n=313) completed the diet survey. Focus group discussions with different generations explored the dietary transition over a period of time and the generation(s) responsible for menu related decisions. Children had significantly higher intake of cereals, other vegetables, sugars and fats as compared to their parents and grandparents (p<0.001) and highest mean percent adequacy of energy, protein and calcium (p<0.001). Information generated can be used to understand dynamics of food selection within a household and improve diet quality of all generations.

scholarly journals Perspectives of future pharmacists on the potential for development and implementation of pharmacist prescribing in Qatar

2020 ◽  
Vol 42 (1) ◽  
pp. 110-123
Author(s):  
Mohammad Issam Diab ◽  
Angham Ibrahim ◽  
Oraib Abdallah ◽  
Alla El-Awaisi ◽  
Monica Zolezzi ◽  
...  
Keyword(s):  
Focus Group ◽  
Treatment Options ◽  
Developed Countries ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Cross Sectional ◽  
Pharmacist Prescribing ◽  
Barriers To Implementation ◽  
Special Training Program

AbstractBackground Pharmacists in many developed countries have been granted prescribing authorities under what is known as “non-medical prescribing” or “pharmacist prescribing”. However, such prescribing privileges are not available in many developing countries. Objective The objective of this study was to determine the perspectives of future pharmacists (recent pharmacy graduates and pharmacy students) on pharmacist prescribing and its potential implementation in Qatar. Methods A convergent parallel mixed-methods design was used: (1) a cross-sectional survey using a pre-tested questionnaire and; (2) focus group discussions to allow for an in-depth understanding of the issue, with a focus on pharmacists prescribing competencies as well as barriers for its implementation. Main outcome measures Future pharmacists’ perspectives and attitudes towards pharmacist prescribing in Qatar. Results The majority of the respondents (94.4%) indicated awareness of the prescribing competency related to selecting treatment options. Furthermore, the majority (92.4%) believed that pharmacists should undergo prescribing training and accreditation before been legally allowed to prescribe, a point that was reiterated in the focus group discussions. Participants generally expressed support for collaborative and supplementary prescribing models when developing prescribing frameworks for Qatar. Four categories emerged under the theme barriers to implementation of pharmacist prescribing: lack of prescribing competency, pharmacist mindset, lack of accessibility to patient records and counseling rooms, and diversity of education and training background. Conclusion The majority of recent pharmacy graduates and students were in favor of pharmacist prescribing been implemented in Qatar. However, a special training program was deemed necessary to qualify pharmacists to prescribe safely and effectively.

Assessing determinants of programmatic performance of community management of malaria, pneumonia, and diarrhea in children in Africa: Protocol and data collection for a mixed-methods evaluation of iCCM (Preprint)

2021 ◽  
Author(s):  
Aliya Karim ◽  
Don de Savigny ◽  
Serge Ngaima ◽  
Daniel Mäusezahl ◽  
Daniel Cobos Muñoz ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Child Health ◽  
Data Collection ◽  
Intervention Effectiveness ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Middle Income ◽  
Key Informant ◽  
Low And Middle Income

BACKGROUND Integrated community case management (iCCM) is a child health program designed to provide integrated, community-based care for pneumonia, malaria and diarrhea for children in hard-to-reach areas of low- and middle-income countries (LMICs). The foundation of the intervention is service-delivery by community health workers (CHWs) who depend on reliable provision of drugs and supplies, consistent supervision, comprehensive training, and community acceptance and participation to perform optimally. The effectiveness of the program may also depend on a number of other elements, including an enabling policy environment, financing mechanisms from the national to the local level, data transmission systems, and appropriate monitoring and evaluation. The extent to which these factors act upon each other to influence the effectiveness and viability of iCCM is both variable and challenging to assess, especially across different implementation contexts. OBJECTIVE In this paper, we describe a mixed-methods systems-based study protocol to assess the programmatic components of iCCM which are associated with intervention effectiveness, and report preliminary results of data collection. METHODS This protocol employs a mixed qualitative and quantitative study design based on a Systems Thinking approach within four iCCM programs in Malawi, Democratic Republic of the Congo, Niger State, and Abia State, Nigeria. Routine monitoring data is collected to determine intervention effectiveness, namely testing, treatment and referral outcomes. Surveys with CHWs, supervisors, and caregivers are performed to collect quantitative data on their demographics, activities, and experiences within the program, and how these relate to the areas of intervention effectiveness. Focus group discussions are conducted with these stakeholders as well as local traditional leaders to contextualize this data. Key informant interviews are undertaken with national and district-level program stakeholders and officers knowledgeable in critical program processes. RESULTS We performed 3,836 surveys and 45 focus group discussions with CHWs, supervisors, and caregivers, and traditional leaders; 120 key informant interviews with district and national-level program managers, health officers, and ministry officials. Policy and program documents were additionally collected for review. CONCLUSIONS Evidence from this study will inform child health programs and practice in low- and middle-income settings, and future policy development within the iCCM intervention.

scholarly journals Attitudes, knowledge and beliefs about dementia: focus group discussions with Pakistani adults in Karachi and Lahore

2019 ◽  
Vol 40 (12) ◽  
pp. 2558-2573 ◽  
Author(s):  
Nicolas Farina ◽  
Asghar Zaidi ◽  
Rosalind Willis ◽  
Sara Balouch
Keyword(s):  
Focus Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Severe Dementia ◽  
Middle Income ◽  
Care Services ◽  
Knowledge And Beliefs ◽  
Health And Social Care ◽  
Normal Ageing ◽  
Barriers To Health

AbstractPakistan is a lower middle-income country, which to date has had very little research and policy making to address the challenge of dementia. This study aims to explore the perceptions of dementia in a group of Pakistani adults. A series of focus group discussions were completed during 2017 with men and women in two metropolitan centres in Pakistan (Lahore and Karachi) (N = 40). Two vignettes, depicting someone with mild dementia and someone with severe dementia, were used to facilitate discussions. An induction-led thematic analysis was completed. Five themes were identified, reflecting (a) dementia awareness, (b) responsibility, (c) barriers to health care, (d) identified support needs, and (e) religion. Most participants had little awareness and knowledge about dementia, commonly understood to be a disease of forgetting or just normal ageing. Thus, there is an urgent need of a nation-wide campaign to raise dementia awareness in Pakistan, though this needs to be accompanied by improved, accessible health and social care services.

scholarly journals Acceptability and perceived facilitators and barriers to the usability of biometric registration among infants and children in Manhiça district, Mozambique: A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260631
Author(s):  
Olga Cambaco ◽  
Noni Gachuhi ◽  
Rebecca Distler ◽  
Carlos Cuinhane ◽  
Emily Parker ◽  
...  
Keyword(s):  
Focus Group ◽  
Healthcare Providers ◽  
Pilot Project ◽  
Perceived Usefulness ◽  
Infants And Children ◽  
Perceived Barriers ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Middle Income

In low-and middle-income countries, many infants and children remain unregistered in both civil registration and healthcare records, limiting their access to essential rights-based services, including healthcare. A novel biometric registration prototype, applying a non-touch platform using smart phones and tablets to capture physical characteristics of infants and children for electronic registration, was tested in rural Mozambique. This study assessed acceptability and perceived barriers and facilitators to the usability of this biometric registration prototype in Manhiça district, southern Mozambique. The study followed a qualitative design consisting of 5 semi-structured interviews with healthcare providers, 7 focus group discussions with caregivers of infants aged between 0 and 5 years old, and 2 focus group discussions with data collectors involved in the implementation of the biometric registration pilot project. Data were thematically analysed. The results of this study show that there is wide acceptability of the biometric registration prototype among healthcare providers and caregivers. Participants were aware of the benefits of the biometric registration prototype. The perceived benefits included that the biometric registration prototype would solve the inefficiency of paper-based registration, and the perception of biometric registration as “healthcare norm”. Perceived potential barriers to the implementation of the biometric registration prototype included: myths and taboos, lack of information, lack of time, lack of father’s consent, and potential workload among healthcare providers. In conclusion, the biometric prototype was widely accepted due to its perceived usefulness. However, there is a need to address the perceived barriers, and involvement of children’s fathers and/or other relevant family members in the process of biometric registration.

Development Interventions and Masculinity in Transition

2018 ◽  
pp. 382-396
Author(s):  
Noorie Safa
Keyword(s):  
Focus Group ◽  
Qualitative Methodology ◽  
Gender Norms ◽  
Indigenous Women ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Three Generations ◽  
Development Interventions ◽  
Depth Interviews

Intent of the study was to trace the shifts in masculinities among three generation's indigenous Marma men due to their increased affiliation with development interventions and its impact on gender relationship in Marma community. Following qualitative methodology, total 28 in-depth interviews and 10 focus group discussions were carried out at Bandarban Sadar, Tigerpara and Balaghata areas. Study covered 70 Marma men of three different generations, where age ranged from 13 to 60 years above. It reflected that to keep pace with modernization or to fill up increased gap with Bengali settlers, indigenous men are moving from primitive non hegemonic order to hegemonic order as existing situation is forcing them to grow up with competitive mind for survival purpose. Gigantic gap among men of three generations, in terms of their perception on what it ought to be a ‘real man' signifies how stereotypical gender norms, values, practices are getting engrossed in indigenous Marma communities which is putting serious impact in gender relationships by leaving indigenous women in vulnerable state.

scholarly journals Barriers to utilize nutrition interventions among lactating women in rural communities of Tigray, northern Ethiopia: An exploratory study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250696
Author(s):  
Selemawit Asfaw Beyene ◽  
Lemlem Weldegerima ◽  
Freweini Gebrearegay Tela ◽  
Omer Seid ◽  
Amal Tucker Brown ◽  
...  
Keyword(s):  
Rural Communities ◽  
Focus Group ◽  
Nutrient Intake ◽  
High Energy ◽  
Northern Ethiopia ◽  
Nutrition Interventions ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Lactating Women ◽  
Lactating Mothers

Background While lactation is a physiological process requiring high energy demand to fulfill the nutrient requirements of the mother and the breastfeeding child, many factors affecting maternal nutrient intake can lead to nutritional deficits. Previous studies in Ethiopia have reported the prevalence of maternal and child undernutrition and related complications. However, qualitative studies exploring potential barriers to utilizing available nutrition interventions are limited. This study, therefore, sought to qualitatively explore barriers hindering the uptake of nutrition services among lactating mothers from rural communities in Tigray, northern Ethiopia. Methods We conducted 6 in-depth interviews, 70 key informant interviews, and 13 focus group discussions among purposively selected community groups, experts, and lactating mothers between November- 2017 and January- 2018. Audio records of all interviews and focus group discussions were transcribed verbatim (word-to-word) and translated into English. Then, translated data were analyzed thematically using qualitative data analysis software Atlas ti-version 7.4. Results The participants in this study perceived that lactating mothers in their study area are not properly utilizing available and recommended nutrition interventions, and as a result, their nutrient intake was reported as inadequate. Participants identified inadequate accessibility and availability of foods, feeding practices, cultural and religious influences, focus on agricultural production and productivity, barriers related to health services and poor access to water, sanitation and hygiene as major barriers hindering the uptake of nutrition interventions by lactating women in Tigray, northern Ethiopia. Conclusion The uptake of nutrition intervention services was low among lactating mothers and was hindered by multiple socio-cultural and health service related factors requiring problem-specific interventions at community, health facility, and administrative levels to improve the nutritional status of lactating mothers in the study area.

scholarly journals Making Corporate Social Responsibility Work: Do Rural and Community Banks (RCBs) in Ghana Care at All?

2017 ◽  
Author(s):  
Henry Mensah ◽  
Ahmed Agyapong ◽  
Eric Oteng-Abayie
Keyword(s):  
Corporate Social Responsibility ◽  
Focus Group ◽  
Social Responsibility ◽  
Annual Reports ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Community Banks ◽  
Group Discussions ◽  
Cross Sectional ◽  
Corporate Social

Rural and Community Banks (RCBs) were set up to provide banking services by way of funds mobilization and offering of credit to cottage industry operators, farmers, fishermen, and regular salaried employees. These banks are not obliged to undertake Corporate Social Responsibility (CSR) activities but are expected by some stakeholders such as citizens in the community to devote part of their profits to meet social developmental activities. This study examines the CSR practices among RCBs in Ghana by adopting a mixed method approach. A combination of Focus Group Discussions (FGDs) and cross-sectional survey was employed to gather detailed information from 86 respondents who are associated with the selected RCBs. Data collected from Focus Group Discussions (FGDs) and annual reports were analyzed using content analysis and presented in themes and models. Using the binomial test and descriptive statistics, questionnaire responses were analyzed and presented. We found that among RCBs, CSR has become synonymous to community and social development as managers accept the value that CSR can create in business. Additionally, it was found that three major stages are involved in the planning and implementation of CSR by RCBs. The researchers recommend that RCBs put together CSR policy guidelines, which will form the basis for CSR engagements in their respective banks.

Dari Idealisme ke Pragmatisme: Pergeseran Paradigma dalam Pengembangan Hukum Ekonomi Syariah di Indonesia

2020 ◽  
Vol 14 (2) ◽  
pp. 191-210
Author(s):  
Addiarrahman Addiarrahman ◽  
Illy Yanti
Keyword(s):  
Focus Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Business World ◽  
Key Informants ◽  
The Public ◽  
Financial Products ◽  
Legal Consideration ◽  
Economic Law ◽  
Islamic Economic

This study seeks to understand the pragmatism of the development of sharia economic law, and its implications for Islamic financial products in Indonesia. The data comes from the results of interviews and focus group discussions with key informants from academics, practitioners, authorities, and the public. This research finds that pragmatism in the development of Islamic economic law is an approach that still dominates the DSN-MUI fatwas. The pragmatism style used is complex-eclectic pragmatism which is represented through makhārij al-fiqhiyyah, which is to choose a mild opinion by sticking to the strongest method or also called "taysīr al-manhajī". The use of this method is intended to ensure that the fatwa is truly able to answer the needs of the business world, as well as being in line with sharia principles. DSN-MUI also does not use maslahah as a legal consideration in a free or liberal way. Rather, it returns maslahah in consideration of the method, so that it is permissible to use the bay’ al-'inān contract only in a forced state (ḍarurah).

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